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1124092754
CHARLES D JACOBSON
PUYALLUP, WA
NPI
1124092754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00013535)
Enumeration Date
2006-02-13
Last Update Date
2011-11-08
Business Address
-- CHARLES D JACOBSON MD
1701 3RD ST SE
PUYALLUP, WA 98372-4511
Phone number: 253-967-5767
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Mailing Address
-- CHARLES D JACOBSON MD
1701 3RD ST SE
PUYALLUP, WA 98372-4511
Phone number: 253-967-5767
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